- BroadPath Healthcare Solutions (Tucson, AZ)
- …internet connectivity **Preferred Qualification:** + Knowledge of or experience with Medicaid Managed Care **_Disclosure:_** _At BroadPath, we believe that ... **Overview** BroadPath is seeking dedicated and customer-focused ** Member Service Representatives** to join our remote call...may occasionally be asked to make outbound calls for member outreach, or other related tasks. During periods of… more
- Emanate Health (Covina, CA)
- …5 years of experience in medical billing with a knowledge of managed care , commercial insurance, Medicare and Medicaid reimbursement is required. Medical ... the country. **J** **ob Summary** The Lead Patient Accounting Representative is responsible for the accuracy and timeliness of...to continually improve all that we do. **Compassion.** We care for each person and each team member… more
- Stony Brook University (Stony Brook, NY)
- Patient Access Representative - Offsite Outpatient Ambulatory Surgery Center, Temp **Position Summary** At Stony Brook Medicine, our **Patient Access ... excellent communication and interpersonal skills, knowledge and understanding of patient care and effectively respond to changing patient needs by making decisions… more
- Mom's Meals (Ankeny, IA)
- …health, home care , hospital or medical equipment + Knowledge of Medicaid /Medicare benefit programs + Demonstrated experience consulting and presenting to care ... a preferred and strategic partner + Serve as a representative for Mom's Meals at conferences by coordinating and...similar organizational sales software + A strong background in Medicare/ Medicaid and Managed Care organizations + Clinical… more
- Tidelands Health (Myrtle Beach, SC)
- …to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than ... and regulations, Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies,… more
- Trinity Health (Farmington Hills, MI)
- …operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible ... in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as...hospital or clinic environment, a health insurance company, managed care organization or other health care financial… more
- Humana (Honolulu, HI)
- …reporting including notification, collection, analyze, storage, and distribution. + Team representative and presenter for various Medicaid committee meetings ... + Understands and explains procurement and supplier oversight processes to Medicaid markets and business areas contacts + Improve and document processes… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our… more
- HCA Healthcare (San Antonio, TX)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... recognized. Submit your application for the opportunity below: Precertification Representative Work from Home **Benefits** Parallon offers a total rewards package… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual ... navigating resources available and provide assistance with addressing SDoH barriers and care gaps. This position educates and assists with the enrollment and… more
- Humana (San Juan, PR)
- …of our caring community and help us put health first** The Subrogation Representative 3 identifies, investigates, and collects recoveries from third parties who are ... for an organization that provides health insurance. The Subrogation Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Humana (Richmond, VA)
- …caring community and help us put health first** The Inbound Contacts Representative represents the company by addressing incoming telephone, digital, or written ... inquiries. The Inbound Contacts Representative performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine… more
- CVS Health (Charleston, WV)
- …*Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday As a Member Service Representative , you will be providing telephone assistance to Aetna ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Medicaid members and providers. You will assist with an… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Humana (San Juan, PR)
- …our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via ... paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …110 countries and regions. Overview: Primary responsibility of the Specialty Sales Representative (SSR) is to represent the Grifols plasma portfolio with identified ... *Educate and promote INA product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. *Key Opinion Leader… more
- LifePoint Health (Hickory, NC)
- *_Job Summary_* In a medical setting, a patient access representative is the first point of contact for a patient. This includes registration, scheduling patients ... located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty… more
- BrightSpring Health Services (Bowling Green, KY)
- …Health Plan was formerly Signature Advantage* We are seeking a Sales Account Representative /Executive for our Abilis Health Plan who will work with senior care ... You will actively market our plan to new senior care partners within a plan service area. Regional Travel...and claim payment solutions. + Assisting with resolution to Member and Provider issues. Refer all unresolved issues to… more
- Molina Healthcare (San Francisco, CA)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- Molina Healthcare (Cheektowaga, NY)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
